Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
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DEPARTMENT OF HEALTH SERVICES<br />
Division of Quality Assurance<br />
Pr<strong>in</strong>t Date: 08/28/2012<br />
Page 7 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2608<br />
ACS CLINICAL SERVICES<br />
REBECCA GREEN<br />
720 W WASHINGTON STREET<br />
APPLETON, WI 54912<br />
County: Outagamie<br />
rgreen@correctionalservices.org<br />
Phone: (920) 830-1750<br />
Fax: (920) 830-1770<br />
Surveyor: Frank Bellaire<br />
Services<br />
Community <strong>Substance</strong> <strong>Abuse</strong> <strong>and</strong> <strong>Mental</strong> <strong>Health</strong><br />
Program Certification Directory<br />
By Provider Name & Certification Number<br />
Initial Certification/<br />
Certification Effective/<br />
Certification Expires<br />
09/01/2005<br />
09/01/2012<br />
08/31/2014<br />
CSAS-Outpatient Treatment DHS 75.13<br />
2810<br />
ADAMS COUNTY HEALTH & HUMAN SERVICES<br />
DEPT COMPREHENSIVE COMMUNITY SERVICES<br />
PHILLIP W ROBINSON<br />
108 E NORTH STREET<br />
FRIENDSHIP, WI 53934<br />
County: Adams<br />
prob<strong>in</strong>son@co.adams.wi.us<br />
Phone: (608) 339-4505<br />
Fax: (608) 339-4593<br />
Surveyor: William Rohner<br />
Services<br />
STATE OF WISCONSIN<br />
Bureau of <strong>Health</strong> Services<br />
PO Box 2969<br />
Madison, WI 53701-2969<br />
Tier/<br />
Branch Beg<strong>in</strong>/<br />
Branch Location(s) End Dates<br />
ACS CLINICAL SERVICES - MANITOWOC Tier 2<br />
33 E WALDO BLVD<br />
09/01/2012<br />
MANITOWOC, WI 54220<br />
08/31/2014<br />
ACS CLINICAL SERVICES - SHEBOYGAN Tier 2<br />
1512 SOUTH 12TH ST<br />
09/01/2012<br />
SHEBOYGAN, WI 53081<br />
08/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
12/10/2008<br />
03/01/2012<br />
02/28/2014<br />
Comprehensive Community Services (CCS) DHS 36<br />
1253<br />
ADAMS COUNTY HEALTH AND HUMAN SERVICES<br />
DEPARTMENT<br />
PHILIP ROBINSON<br />
108 E. NORTH STREET<br />
FRIENDSHIP, WI 53934<br />
County: Adams<br />
prob<strong>in</strong>son@co.adams.wi.us<br />
Phone: (608) 339-4505<br />
Fax: (608) 339-4585<br />
Surveyor: William Rohner<br />
Services<br />
NO BRANCH LOCATIONS<br />
09/01/2012 08/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
09/01/1990<br />
03/01/2012<br />
02/28/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic with Telehealth DHS 35<br />
CSAS-Emergency Outpatient DHS 75.05<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Outpatient Treatment with Telehealth DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
NO BRANCH LOCATIONS<br />
03/01/2012 02/28/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
03/01/2012 02/28/2014<br />
03/01/2012 02/28/2014<br />
03/01/2012 02/28/2014<br />
03/01/2012 02/28/2014<br />
03/01/2012 02/28/2014<br />
03/01/2012 02/28/2014
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